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General NPI Number Information
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NPI Number | 1679634760
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Entity Type | Individual
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Provider Name | JUDITA BALTASAR BAUTISTA M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BELLEVUE HOSPITAL CENTER, WOMEN'S HEALTH SERVICES 462 FIRST AVE
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-562-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 2 TUDOR CITY PL #6K-NORTH
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City | NEW YORK
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State | NY
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Zip | 10017-6800
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Country | US
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Telephone | 212-263-6594
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 192343
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License Number State | NY
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